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Individual

KATHRYN W ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14030 NE 24TH ST, SUITE 202, BELLEVUE, WA 98007
(425) 454-1104
(425) 454-1290
Mailing address
14030 NE 24TH ST, SUITE 202, BELLEVUE, WA 98007
(425) 454-1104
(425) 454-1290

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00024514
WA
207NP0225X
Pediatric Dermatology Physician
Primary
MD00024514
WA
207NS0135X
Procedural Dermatology Physician
MD00024514
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1068824
WA
01
4291030
AETNA
WA
05
7080237
WA
01
CN9262
RAILROAD MEDICARE GROUP
WA
01
ER1189
REGENCE
WA
Enumeration date
08/30/2006
Last updated
09/11/2025
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